| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,059.21 | $1,059.21 | $1,059.21 | |
Cigna
| Facility | $4,403.12 | $4,688.88 | $4,783.06 | |
Medcost
| Facility | $1,059.21 | $1,059.21 | $1,376.97 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |